NPIMap

Organization Active NPI

South County Cardiology Associates, Inc.

  • Cardiovascular Disease Physician
  • North Kingstown, RI
National Provider Identifier
1891895090
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SOUTH COUNTY CARDIOLOGY ASSOCIATES, INC.
Practice address
426 Scrabbletown Rd
Suite F
North Kingstown, RI 02852-3649
Phone
(401) 294-5831
Fax
(401) 294-7291
NPI assigned
Sep 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa M Poisson
Title
Practice Administrator
Phone
(401) 294-5831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

426 Scrabbletown Rd
Suite F
North Kingstown, RI 02852-3649

Mailing address

426 Scrabbletown Rd
Suite F
North Kingstown, RI 02852-3649
Phone (401) 294-5831

Other identifiers 1

IdentifierTypeStateIssuer
7001692MedicaidRI

National Provider Directory

National Provider Directory

Locations

426 Scrabbletown Rd
Ste F
North Kingstown, RI 02852
Phone (401) 294-5831

70 Kenyon Ave
#103
Wakefield, RI 02879
Phone (401) 789-0661

70 Kenyon Ave
#G3
Wakefield, RI 02879
Phone (401) 789-5770

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891895090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 SCRABBLETOWN RD",
            "address_2": "SUITE F",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028523649",
            "telephone_number": "401-294-5831",
            "fax_number": "401-294-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 SCRABBLETOWN RD",
            "address_2": "SUITE F",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028523649",
            "telephone_number": "401-294-5831",
            "fax_number": "401-294-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY CARDIOLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POISSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "401-294-5831"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001692",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.